Strenuous expiratory efforts in some chronic obstructive pulmonary disease (COPD) patients lim-it the effectiveness of coughing. Why is this so?
a. The accessory muscles of inspiration op-pose the exhalation.
b. All COPD patients have severe abdominal muscle weakness.
c. High expiratory pleural pressures compress the small airways.
d. Strenuous expiration causes the upper air-way to collapse.
ANS: C
In some patients with COPD, the high pleural pressures during a forced cough may compress the smaller airways and limit the cough's effectiveness.
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